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Enhancing and Advancing Shared Governance Through a Targeted Decision-Making Redesign
Ann E Dechairo-Marino1, Mara E Collins Raggi, Sherri Garber Mendelson
1Author Affiliations: Former Chief Nursing Officer (Dr Dechairo-Marino), Manager of Neonatal Intensive Care Unit (Ms Raggi), Director of Nursing Research, Magnet Program, and Professional Role Development, Magnet Department (Dr Mendelson), and Advisor, Nursing Research Fellowship (Dr Highfield), Providence Holy Cross Medical Center, Mission Hills, California; Professor Emeritus (Dr Highfield), Nursing Department, California State University, Northridge; Executive Vice President, Chief Clinical Executive (Dr Hess), OnCourse Learning, Healthcare, Brookfield, Wisconsin; and Founder and Chief Executive Officer (Dr Hess), Forum for Shared Governance, Hobe Sound, Florida.
A redesigned shared decision-making process significantly improved nursing shared governance (SG) scores. The Index of Professional Nursing Governance (IPNG) effectively measured these positive changes in a hospital setting.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Science
Background:
- Nursing shared governance (SG) is vital for collaborative decision-making among nurses.
- It enhances patient care quality, nurse empowerment, and job satisfaction.
Purpose of the Study:
- To evaluate if a targeted redesign of shared decision-making processes positively impacts nursing shared governance (SG).
Main Methods:
- A quasi-experimental, pretest/posttest design was employed.
- The Index of Professional Nursing Governance (IPNG) was administered to registered nurses (RNs) in a Magnet®-designated medical center.
- Intervention scores informed a shared decision-making redesign, with post-intervention data collected within one year.
Main Results:
- A significant increase was observed in the overall IPNG score post-redesign.
- Five out of six IPNG subscale scores also demonstrated significant improvement.
Conclusions:
- While SG structure changes may take 2-5 years to fully manifest, this study shows positive outcomes.
- The IPNG is confirmed as a valuable instrument for assessing and promoting setting-specific nursing shared governance.
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